Temp Claims Specialist

Planned Parenthood Federation of America

Claims Specialist responsible for accurate billing in PPCCC health centers along the Central Coast. Requires knowledge of third party insurance billing and experience with NextGen application.

Posted 7/15/2026full-timeSanta Barbara • California • 🇺🇸 United StatesJuniorMid-Level💰 $28 per hourWebsite

Core Competencies

Role fit

Core Competencies

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Demonstrates expertise in third-party insurance billing processes, including Medi-Cal, Medicare, and private insurance, while ensuring accurate and timely billing submissions. Proficient in using NextGen for Electronic Health Records and Practice Management, with a strong focus on detail and organization.

Highest-signal resume keywords

Third Party Insurance BillingNextGen Practice ManagementCPT-4 CodingICD-9/10 CodingFamilyPACT Knowledge

ATS Keywords

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Applicant Tracking System Keywords

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Hard Skills

Billing ExperienceCharge ValidationClaims ProcessingEHR SystemsPM Systems

Soft Skills

Strong Work EthicSelf-MotivatedDetail OrientedOrganizedStrong Communication Skills

Tools & Technologies

NextGenRosettaClaim Remedy

Industry Keywords

Medi-CalMedicareCommercial BillingHealth Center BillingClinic Work Environment

About the role

Key responsibilities & impact

Responsible for ensuring timely and accurate billing is submitted to the appropriate third-party payer.
This role is responsible for PPCCC’s geographic area (Thousand Oaks to San Luis Obispo) health center billing.
Validates charges from pending charges report, with EHR and PM systems within NextGen.
Creates claims into Rosetta holding tank for processing to Claim Remedy.
Identifies issues that need improvements and communicates with Center Director or Clinician.

Requirements

What you’ll need

Minimal 2 years billing experience in a clinic work environment.
Knowledge of FamilyPACT, MediCal and commercial billing.
Thorough knowledge of third party insurance billing, including Medi-Cal, Medicare, and private insurance.
Solid understanding of CPT-4 and ICD-9/10 codes.
Strong work ethic, able to work independently, self-motivated.
Working knowledge of both Electronic Health Records and Practice Management processes, preferably in using NextGen.
Strong oral and written communication skills required.
Must be detail oriented, organized, and able to meet deadlines.
Must have a valid driver’s license as this position requires travel to workshops and other Planned Parenthood sites including but not limited to PPCCC’s geographic area.
High School diploma or equivalent.
Experience with NextGen Practice Management Application is required.

Benefits

Comp & perks

$1.00/hour bilingual Spanish/English differential pay is offered upon passing the language assessment test.